MEDICARE: DR. LEE M. ZEHNGEBOT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	ME0046635	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588622419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE M. ZEHNGEBOT M.D.

Provider Business Mailing Address
First Line	:	300 S INTERLACHEN AVE UNIT 403
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4474
Country	:	US
Telephone Number	:	407-256-3472
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 N ORANGE AVE
Second Line	:	SUITE 381
City	:	ORLANDO
State	:	FL
Zip	:	32804-4623
Country	:	US
Telephone Number	:	407-898-5452
Fax Number	:	407-894-1183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	05/03/2018

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